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Intense fighting a serious challenge for patients, MSF staff in Helmand

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Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.

“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.

“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.

“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”

Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.

“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”

The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.

Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.

MSF also said the conflict is stopping people from seeking medical attention when ill.

“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”

Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.

Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.

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Russia estimates up to 23,000 terrorists present in Afghanistan

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The Russian Foreign Ministry has estimated that around 20,000 to 23,000 fighters from various international terrorist groups are present in Afghanistan, contributing to ongoing security and political challenges in the country.

The ministry noted that over half of these fighters are foreign nationals.

Among the larger groups, Daesh is believed to number around 3,000, the Tehreek‑e-Taliban Pakistan (TTP) 5,000–7,000, and al Qaeda 400–1,500.

Smaller groups reportedly include the East Turkestan Islamic Movement (ETIM), the Islamic Movement of Uzbekistan (IMU/Turkestan Islamic Party), and Jamaat Ansarullah.

According to the ministry, Daesh remains the only group actively hostile toward the Afghan authorities, though it reportedly lacks the capacity to seize territory, focusing instead on undermining public confidence.

Afghan security efforts over the past 18 months are credited with significantly reducing attacks attributed to Daesh.

The Islamic Emirate of Afghanistan has consistently maintained that it will not allow Afghan soil to be used against any other country and continues to deny the presence of armed groups operating freely within the country.

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Afghanistan lodges complaint with UN over Pakistani airstrikes

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Afghanistan’s acting representative to the United Nations has formally raised concerns at the UN Security Council following overnight airstrikes this week it says were carried out by Pakistan inside Afghan territory.

Nasir Ahmad Faiq, acting chargé d’affaires of Afghanistan’s mission to the UN, announced on Monday that a formal complaint had been submitted regarding the strikes, which reportedly resulted in civilian casualties.

In a statement posted on X, Faiq called for “the immediate cessation of such actions, a thorough and impartial review, full respect for Afghanistan’s territorial integrity, and strict adherence to the Charter of the United Nations and international law.”

According to Afghan officials, the strikes took place late Saturday night in eastern Nangarhar and south-eastern Paktika provinces.

Authorities say dozens of civilians, including women and children, were killed or wounded when residential areas were hit.

Islamabad has previously maintained that it reserves the right to act against militant groups it says operate near or along the disputed Durand Line. Afghan officials, however, have consistently rejected allegations that Afghan territory is being used to launch attacks against Pakistan.

The latest incident comes amid heightened tensions between Kabul and Islamabad over security concerns and cross-Durand Line militancy, further complicating already fragile bilateral relations.

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US companies are welcome to join TAPI project: Turkmenistan’s ex-president

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In an interview with Al Arabiya, former Turkmen President Gurbanguly Berdymukhamedov said international companies, including United States firms, are welcome to join the Turkmenistan–Afghanistan–Pakistan–India (TAPI) gas pipeline project.

Berdymukhamedov noted that while the project enjoys U.S. support, it will need to navigate longstanding regional tensions, as Afghanistan, Pakistan, and India have seen outbreaks of deadly fighting over the past year.

“This project, which enjoys international support, including from the United States, possesses immense potential in meeting the growing energy needs of South Asian nations. It also opens promising avenues for accessing the emerging markets of the Asia-Pacific region, the Near East, and the Middle East,” he said.

 “The TAPI project is also of paramount importance for political stability and economic prosperity, maintaining high investment attractiveness,” Berdymukhamedov added.

Turkmenistan plans to complete the first section of the pipeline, reaching the Afghan city of Herat, by the end of 2026. No plans have yet been announced to extend the project further south.

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